The Charisma Pathway Two Application Form Licensed Educator Application FormThank you for your interest in becoming a Licensed Charisma Educator. Pathway Two is application-only due to professional responsibility, licensing agreements, and educator standards. This pathway is designed for experienced practitioners who feel ready to expand into education while remaining hands-on in clinic. Please complete this form honestly and in full.Section 1Personal & Professional DetailsName *Business Name *Business Address *City *Post Code *Email Address *Phone *Website | Instagram | Social Links:Section 2Qualifications & Professional Background1. What professional qualifications do you currently hold? *(Please list titles and awarding bodies where possible.)2. How many years have you been practicing professionally? *3. What treatments do you currently offer? *4. Are you currently insured?YesNoIf yes, please state your insurer:5. Have you previously completed any Charisma training?YesNoIf yes, please list courses and dates:Section 3Experience6. How often are you currently hands-on with clients? *(e.g. full-time, part-time, days per week)7. Which Charisma protocols are you currently offering professionally? *8. How long have you been offering these treatments? *9. Please describe a complex or memorable client case and how you approached it. *(This helps assess depth of experience and clinical thinking.)Section 4Teaching Readiness10. Have you taught before?YesNoIf yes, please describe what you have taught and in what capacity:11. Why do you feel ready to step into education now? *12. What does responsible teaching mean to you? *13. How do you ensure you remain within your scope of practice when teaching? *14. How would you manage a student who was not meeting competency standards? *Section 5Standards & Integrity Alignment15. How do you feel about fixed course pricing structures to protect brand integrity? *16. How do you respond when clients or students request discounts? *17. How would you explain the difference between CPD training and a qualification? *18. What does staying hands-on with clients mean to you as an educator? *19. Why do you feel aligned with the Charisma ethos? *Section 6Practical Teaching Requirements20. Do you have suitable space to teach 2–4 students safely?YesNo21. Are you prepared to complete the following: *Educator theory & written assignmentMicro-teach assessment2–3 day practical educator trainingLicensing contract agreementAnnual licensing fee (£500)Minimum 3-month clinical integration periodTeaching within scope & protocol structuresSection 7Pathway Selection & Investment22. Which option are you applying for?Option A -Own Courses + Charisma Licensing (Already Trained)Option B -Own Courses + Training in Charisma Protocols23. Which Charisma courses are you interested in delivering? *24. Are you financially prepared to invest between £2,500 – £5,500 depending on selected courses?YesNo25. Why is now the right time for you to step into this level of responsibility? *Section 8Final DeclarationI confirm that: *The information provided is accurateI understand Pathway Two is assessedI understand licensing terms applyI understand teaching responsibility lies with me under my own insuranceI understand approval is not guarantSubmit
